| NPI | 1043522782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOPELOLA DAUDU Pharmacist In Charge 813-374-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 24675) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |